| Kimberly Hasenboehler, PA | |
|
8923 Grummore Cir, Pikesville, MD 21208-1427 | |
| (720) 979-1002 | |
| Not Available |
| Full Name | Kimberly Hasenboehler |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 8923 Grummore Cir, Pikesville, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669552923 | NPI | - | NPPES |
| 8D9264 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | C04626 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Hospital Center | Randallstown, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Ii Llc | 0547413825 | 3726 |
| Northwest Hospital Center Inc | 6204739352 | 90 |
| Entity Name | Northwest Hospital Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508961988 PECOS PAC ID: 6204739352 Enrollment ID: O20040128000328 |
| Entity Name | Medstar Medical Group II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Hasenboehler, PA 8923 Grummore Cir, Pikesville, MD 21208-1427 Ph: (720) 979-1002 | Kimberly Hasenboehler, PA 8923 Grummore Cir, Pikesville, MD 21208-1427 Ph: (720) 979-1002 |
Shevonne Chude, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1838 Greene Tree Rd Ste 340, Pikesville, MD 21208 Phone: 410-602-3376 |
John Howard Mccabe, P.A-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1838 Greene Tree Rd, Suite 400, Pikesville, MD 21208 Phone: 410-602-7782 Fax: 410-602-2438 |
Lauren Joong-mee Dewlin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1838 Greene Tree Rd Ste 340, Pikesville, MD 21208 Phone: 410-602-3376 |
Mrs. Avigayil Ruth Luchansky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 31 Walker Ave, Pikesville, MD 21208 Phone: 410-415-3515 |
Charlotte Bartrug, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4000 Old Court Rd Ste 301, Pikesville, MD 21208 Phone: 410-653-0000 Fax: 410-653-5531 |
Mrs. Melanie Glass Ray, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1700 Reisterstown Rd Ste 102, Pikesville, MD 21208 Phone: 410-469-5555 Fax: 410-469-5484 |
Erica Longstreet, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1700 Reisterstown Rd Ste 102, Pikesville, MD 21208 Phone: 410-469-5555 Fax: 410-469-5484 |